PART II

REPORT OF CONCERNED POLICE STATION

(a)        Character and Antecedents of applicant is verified as GOOD and applicant is found security wise clear for issuance of port entry pass and Delivery license to enter and take delivery of goods from Port Restricted Area. _____________________________________________________________

(b)        Unsuitable for issuance  of  port entry pass and Delivery license to enter and take delivery of goods due to the following reasons. _______________________________________________________

            ____________________________

SIGNATURE OF THE POLICE

OFFICER WITH OFFICE STAMP

PART III

FILLED BY TRAFFIC DEPARTMENT OF KPT FOR CUSTOM CLEARING & FORWARDING AGENTS ONLY

Register No :	Date:
Challan No Issued:	Date:
C.H.P No:	Date
Valid upto:	Renewal up to:

Dy. Traffic Manager (W)

PART – IV

PORT INTELLIGENCE OFFICER CLEARANCE

RECOMMENDED / NOT RECOMMENDED 

              In case of not recommended, mention reasons: _____________________________

                        ___________________________________________________________________

                                  Signature with Stamp

FOR C.P.I.O USE ONLY

Registration No ________________________   

HBL Receipt No. __________________________          Date ________________

Old record verified___________________________________________________

Documents checked & verified _________________________________________

Authority letter / Specimen signature of firm rep verified_____________________

SECURITY LEVEL_________________________________________________

            KPT C.H.P. No. issued by Traffic Deptt ___________ 

            Old Delivery License returned by individual ______________________________

            Objection if any _____________________________________________________

                                                                                                Signature of Staff with Stamp

CPIO

APPROVED / NOT APPROVED

2D Card No.________________        Date of Issue/Renewal__________________

Valid upto_____________

  _____  _______________

                                                                        CPIO's SIGNATURE